Organization Active NPI

Advanced Pain and Weight Loss Solutions, PSC

Doing business as Advanced Care Center Irvine

  • Primary Care Clinic/Center
  • Irvine, KY
National Provider Identifier
1447534490
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ADVANCED PAIN AND WEIGHT LOSS SOLUTIONS, PSC
Doing business as
Advanced Care Center Irvine
Practice address
133 Main St
Irvine, KY 40336-1084
Phone
(606) 346-2795
Fax
(606) 346-2382
NPI assigned
Oct 7, 2011
Last updated
Oct 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jennifer Pelfrey
Title
Co-Owner/Administrator
Phone
(606) 346-2795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

133 Main St
Irvine, KY 40336-1084

Mailing address

PO Box 259
Hustonville, KY 40437-0259
Phone (606) 346-2795

Other names 1

  • Advanced Care Center Irvine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1447534490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 259",
            "city": "HUSTONVILLE",
            "state": "KY",
            "postal_code": "404370259",
            "telephone_number": "606-346-2795",
            "fax_number": "606-346-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MAIN ST",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403361084",
            "telephone_number": "606-346-2795",
            "fax_number": "606-346-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN AND WEIGHT LOSS SOLUTIONS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "PELFREY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CO-OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "606-346-2795",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Care Center Irvine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.